Advances in arthroscopic technique have allowed a more accurate assessment and classification of the pathological changes in Kienböck’s disease. This assists in decision making and customizing treatment for the individual patient and their wrist disorder. In our practice arthroscopic reconstructive procedures for Kienböck’s disease include lunate excision, proximal row carpectomy and partial wrist fusions. In advanced Kienböck’s disease where the radioscaphoid articulation is still preserved, we utilize scaphocapitate fusion, which bypasses the load to the radioscaphoid articulation, and therefore unloads the lunate. In this article the specific indications and techniques of arthroscopic scaphocapitate fusion, radioscapholunate fusion and proximal row carpectomy are described.
|Title of host publication||Kienbock's Disease|
|Subtitle of host publication||Advances in Diagnosis and Treatment|
|Publisher||Springer International Publishing|
|Number of pages||10|
|Publication status||Published - 1 Jan 2016|